354 final chap 10

Question 1

long term care

Answer 1

a variety of individualized, well-coordinated services that promote maximum possible independence for people with functional limitation

Question 2

LTSS

Answer 2

long term services and support

Question 3

the aging population increases…

Answer 3

the demand for LTC

Question 4

percent of LTC users 65+

Answer 4

56%

Question 5

percent of LTC users <65

Answer 5

44%

Question 6

ADL - activities of daily living

Answer 6

ability to perform basic, personal care tasks

Question 7

IADL - instrumental activities of daily living

Answer 7

ability to perform complex activities and interact with the environment

Question 8

main 2 providers of LTC

Answer 8

informal and formal

Question 9

informal care

Answer 9

unpaid care given by spouses, family, or friends

Question 10

majority of LTC providers

Answer 10

informal care

Question 11

formal care

Answer 11

paid professional and unprofessional care provided by variety of settings

Question 12

assisted living

Answer 12

residential setting that provides personal care, 24 hour supervision, social services, recreational activities, and nursing/rehab services

Question 13

fastest growing LTC option

Answer 13

assisted living

Question 14

assisted living maximizes

Answer 14

dignity, privacy, and autonomy

Question 15

home/community based services

Answer 15

various health and social services that allow people to live in their homes and integrate within the community
(more cost effective and meets their preferences)

Question 16

human services

Answer 16

support daily living

Question 17

health services

Answer 17

meet medical needs

Question 18

nursing homes (skilled nursing facilities)

Answer 18

24 hour nursing with full range of clinical LTC services
(short term rehab after hospitalization or long term)

Question 19

what patients are in nursing homes

Answer 19

greater functional impairment and comorbidity residents

Question 20

environment of nursing homes

Answer 20

institutional and clinical with heavy staffing needs (there is a change in the way they want them to look - more homey and less like a hospital)

Question 21

nursing homes are heavily regulated by

Answer 21

licensure and certification requirements

Question 22

continuing care retirement communities (CCRC)

Answer 22

integrated independent living with institutional components of LTC all on one campus (expensive entrance and monthly fees)

Question 23

CCRC gurantees

Answer 23

delivery of higher-level services when future needs arise

Question 24

what does Medicare cover

Answer 24

NO LTC - only short term,
first 100 days in nursing home after hospital stay, primary payer of home health and hospice

Question 25

what does Medicaid cover

Answer 25

LTC, some home and community-based services, mostly nursing home care

Question 26

private payments are primarily for

Answer 26

assisted living and CCRC’s

Question 27

there is a shift from institutional care to

Answer 27

home and community services

Question 28

quality of life (5 factors)

Answer 28

lifestyle pursuits, living environment, clinical palliation, human factors, and personal choices